Carcinoma of the Larynx

✍ Scribed by Dr. A. G. Robertson; P. Boyle; F. Deuchars; C. Robertson

• Publisher: John Wiley and Sons
• Year: 1987
• Tongue: English
• Weight: 525 KB
• Volume: 35
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/jso.2930350402

✦ Synopsis

Six hundred sixty-eight patients with tumours of the larynx were treated by radiotherapy. The patients had stage T1 NO MO to T4 N3 MO disease. Patients with T I NO MO disease ( 273) had an excellent long-term survival (90%) as did those with T2 NO MO disease (142), whose 5-year survival was 70%. Patients with more advanced disease but no nodal spread did not respond as readily to radiotherapy; the 5-year survival was 40%. All patients were treated using a parallel pair set-up 6 X 6 cm lateral neck fields. A more aggressive radiotherapy regime to a larger tissue volume to include microscopic spread to lymph nodes may improve survival of locally advanced disease.